"Brother Yi, this is so good, why is there bacteria in the gallbladder?"

Chen Qiang sat in the consultation room and couldn't help but ask questions.

Because he also followed this patient throughout the whole process, he followed the diagnosis ideas, and finally figured it out, thinking that a case was successfully solved, but he didn't expect that there was a problem with the inexplicable gallbladder!

Not only him, but also the sailors in the live broadcast room were puzzled and launched a barrage:

"The anchor said that it was the gallbladder caused by fasting water, but why are there bacteria in the gallbladder?"

"yes, does this patient have other problems?"

"Maybe his gallbladder is not normal, and the two diseases are just together."

"If that's the case, this patient is unlucky enough......... There are so many problems in the body at the same time. ”

Lin Yi took a sip of water and explained:

"Generally speaking, a normal person's gallbladder is free of bacteria. However, under pathological conditions, especially if the patient already has pancreatitis and digestive tract dysfunction. ”

"At this time, it is possible that intestinal bacteria may reflux into the gallbladder through the common bile duct, thus causing cholecystitis."

"Oh, that's right."

Chen Qiang nodded in understanding after hearing this.

"We can treat him immediately and immediately, it's not a big problem."

Subsequently, Lin Yi said to Wu Jiang.

"Okay, I'll arrange it now!"

Wu Jiang agreed, and hurriedly walked out of the consultation room.

Then, Lin Yi looked at the live broadcast camera and said:

"Brothers, now we have thoroughly analyzed the cause of this patient."

"I don't know if there are medical students or medical-related workers in our live broadcast room, I can review this case for you for learning."

After Lin Yi finished speaking, the live broadcast room quickly sent a barrage and responded:

"I am, I am, just a freshman! Come and see the live broadcast of the anchor to learn! ”

"I'm a doctor at the hospital, you name it, anchor!"

"I'm not a health worker, but I want to hear it!"

"Yes, me too, but I can still understand most of the live broadcasts of the anchors!"

"Come on, anchor, this is a classic case, my laptop is ready!"

Lin Yi saw that the barrage was very enthusiastic, so he said:

"Okay, in that case, then I'll say that even if you are not a medical worker, you can use this patient's experience as a warning and pay attention to protecting your body."

"First of all, the patient himself is overweight, and he has hyperlipidemia (hypertriglyceridemia) due to previous overeating, heavy drinking."

"In this case, coupled with that party, he overate on the spot, which directly induced acute pancreatitis."

"Then I came to our hospital and during the treatment of acute pancreatitis, because the patient's family did not immediately accept my advice, blood purification treatment was performed."

"The patient had another complication in the ward, starting with lung involvement, and acute respiratory distress syndrome, so much so that he was admitted to the ICU and put on a ventilator."

"After the condition improved, acute cholecystitis reappeared due to the patient's hyperlipidemia and cholestasis caused by long-term fasting and water fasting, and it was acalculous cholecystitis."

"Eventually, we gave the patient a cholecystecesis aspiration with intense antibiotic therapy."

"After this treatment, he must be fine!"

"Through this patient's case, I want to remind everyone that we must actively exercise and maintain a good figure."

"No matter how excited you are when you're out with your brothers and friends, don't overeat!"

"Also, if there are water friends with high triglyceridemia found in the physical examination, pay attention, you must be vigilant!"

"You must keep your mouth shut and open your legs, otherwise after you get into big trouble, it's too late to regret it!"

After Lin Yi finished speaking, he immediately attracted a burst of echo from the friends in the live broadcast room:

"Okay, streamer, got it!"

"When you go out to party in the future, you have to pay attention to your diet! Drink less! ”

"Now that I watch the live broadcast of the anchor, the more cautious I become!"

"Damn! It's okay for you to be cautious, I'm suspicious every day now! I always wonder if I have this disease, or if I have that disease! ”

"I feel like I'm having a mental problem!"

"Hahaha! Me too, I thought I was alone! ”

"I watched a case of live streaming on the anchor, and I thought I had this disease."

"! Then you're even more serious, brother! ”

…………

After a few days of treatment, the patient's body temperature gradually drops, and the bile drawn from the body is not so viscous.

Lin Yi arranged to go for culture again, and there was no presence of bacteria, which means that the infection has been controlled!

【Ding! Congratulations to the host! Complete the Advanced Consultation Quest to receive rewards:

Expert Fighting Skills!

】

Cow Pie!

………………

"Oops......... It's been a fulfilling morning! ”

On this day, Lin Yi was treating surgical patients all day long, and only walked into the consultation room after eating at noon, stretching hard.

"It's been a few days, and there are no incurable patients coming to the door."

Wu Jiang sat at his desk and said with a sigh.

"What's wrong? Do you have itchy hands? ”

Yin Liang couldn't help but ask with a smile.

"Yes! Needless to say! ”

Wu Jiang moved his wrist and said directly,

"Now I can't meet patients with incurable diseases, and I'm uncomfortable!"

"Look at you here, even if there is really such a patient, it is not diagnosed by Brother Yi, and those who don't know still think that you have diagnosed it!"

Yin Liang couldn't help but scold.

Wu Jiang glanced at him and said:

"What's wrong? Then I'm also involved, can't I? ”

"Okay, okay, it's mainly your work, okay! If you weren't watching, the patient wouldn't be fine! ”

Yin Liang nodded and said again and again.

Wang Qiaoya watched the two of them scolding each other, and couldn't help but cover her mouth and laugh.

Wu Jiang looked at Wang Qiaoya, pointed at Yin Liang and said to her:

"Qiaoya, don't listen to his nonsense, don't look at his time in the hospital longer than me, but his medical skills are not as good as mine!"

"Hey, hey, I'm not as good as you? Don't put gold on your face in front of your new colleagues! ”

Yin Liang looked disdainful and said to him,

"Low-key don't understand! You see that Brother Yi is so young and so powerful, he is not as ashamed as you! ”

"Are you Brother Yi? It's like you! ”

"Shh

As the crowd watched the two of them arguing, the office door was pushed open from the outside.

The two of them couldn't help but stop.

The crowd looked to the door.

I saw a doctor in a white coat walk in and look around.

"Zhang Cheng, why are you here?"

After Wu Jiang saw the doctor clearly, he couldn't help but ask suspiciously.

"Huh? Brother Jiang, are you also in this independent clinic now? ”

After the doctor named Zhang Cheng saw Lin Yi, he couldn't help but be slightly surprised.

"Of course."

Wu Jiang nodded.

"This is ............"

Lin Yi looked at Zhang Cheng and wondered.

Wu Jiang hurriedly introduced:

"Ao, Brother Yi, he's from the immunology department."

"Immunology ............"

Lin Yi nodded slightly, indicating understanding.

But then I became curious, why did the doctor from the immunology department suddenly come to his office?

"This is Dr. Lin Yilin, right?"

Then, Zhang Cheng's eyes looked at Lin Yi, a hint of surprise flashed in his eyes, and he asked Wu Jiang.

"That's right, this is Brother Yi, the boss of our clinic."

Wu Jiang nodded affirmatively.

"Doctor Lin, that's right, we met a patient in the immunology department who was in a complicated situation, and our Director Xu asked me to come over and ask if you have time, go over and have a look."

Zhang Cheng looked at Lin Yi and said.

Since the last time the director of the Department of Orthopedics asked Lin Yi to help diagnose the patient, the director of the Department of Orthopedics told his friend Director Xu of the Department of Immunology about it.

So after Director Xu encountered trouble, he first thought of Lin Yi.

"Oh? Have a complicated patient? It's really said that Cao Cao Cao is here! ”

Without waiting for Lin Yi to say anything, Wu Jiang immediately stood up excitedly, his eyes scanning the crowd.

Lin Yi frowned slightly and asked:

"What's the condition of this patient?"

Zhang Cheng first frowned, and then wondered:

"This patient ......... I can't say a word about his situation, if you have time, come with me to Director Xu's office now. ”

"Okay, then I'll go and see."

After speaking, Lin Yi stood up directly.

"Brother Yi, I'll go too!"

Wu Jiang immediately took the initiative to ask Yingdao.

Lin Yi looked at him and said:

"I'll go over by myself and see what the situation is, you guys are waiting here."

"Okay then."

Wu Jiang saw that Lin Yi said this, so he had no choice but to give up.

Afterwards, Lin Yi and Zhang Cheng walked to the office of Director Xu of the Department of Immunology.

"Knock knock!"

"Please come in!"

Zhang Cheng pushed the door into the office and said inside:

"Director Xu, Dr. Lin is here."

Lin Yi followed and walked in, only to see that the office was very large, and there was a round table by the window on the left, where three people were sitting.

In the middle is an older doctor, sitting upright in a chair with a serious expression.

He is none other than Xu Jie, the director of the immunology department.

Xu Jie looked at Lin Yi, nodded at him and said hello:

"Hello Dr. Lin, please take a seat."

"Okay, Director Xu."

Lin Yi responded politely, and then sat down.

"Doctor Lin, the purpose of our invitation to come, Xiao Zhang should have told you as well. There is a patient whose condition is complicated, and we would like to ask you to come for a consultation. ”

"I know that although you are very young and have not been in the hospital for a long time, you have a very high level of knowledge about these diseases and your diagnostic ideas."

Then, Xu Jie looked at Lin Yi and said with a slight smile on his face,

"These two are experts in immunology and oncology."

With that, he pointed to the two doctors next to him.

After Lin Yi and them greeted each other, Xu Jie went straight to the point and said to Lin Yi:

"Doctor Lin, time is pressing, let's get down to business."

"I'll tell you about this patient first."

"Okay, Director Xu."

Lin Yi nodded, cheered up, and waited for his narration.

"This patient's name is Sun Haiyang, 21 years old, and he is a rich second generation."

"A few days ago, when he was driving a sports car with his little girlfriend, he suddenly suffered internal bleeding, which led to a traffic accident, and the sports car crashed into the bridge pier!"

"After the patient was taken to our hospital by the emergency center, the symptoms were low-grade fever and internal bleeding."

"We did a preliminary examination of him and found that he had red blood cell lysis, high indirect bilirubin, and low serum haptoglobin........."

Red blood cell lysis and indirect bilirubin are high, and if these two conditions occur, it is either liver damage, or a blood disease or autoimmune disease.

Hearing this, Lin Yi couldn't help but think in his mind.

Immediately afterwards, Xu Jie continued:

"Through the investigation, we found that the patient had been in and out of the hospital several times due to internal bleeding in the month before the accident."

"After our further examination of him, drug use, meningitis, infection, bacterial endocarditis and other conditions were ruled out."

"And we've speculated on the possibility of several diseases."

"One is hemolytic anemia (a blood disorder in which red blood cells are destroyed at a rate that greatly exceeds their compensatory capacity)."

"And then there's lupus erythematosus."

"And lymphoma."

Immediately afterwards, Xu Jie said to Lin Yi in one breath.

Lin Yi nodded slightly in affirmation.

Lupus erythematosus is a classic autoimmune disease.

"Dr. Lin, do you have any opinions?"

After speaking, Director Xu raised his head and stared at Lin Yi expectantly, waiting for any good insights to come out of Lin Yi's mouth.

Lin Yi pondered for a moment, then asked:

"Does this patient have hereditary hemolytic anemia?"

"Nope."

After listening to Lin Yi's question, Director Xu directly shook his head and said in denial.

After listening to his answer, Lin Yi immediately said:

"In that case, he is not hemolytic anemia."

"As a twenty-one-year-old, the possibility of having hemolytic anemia is almost non-existent in the absence of genetics!"

Hemolytic anemia is generally more common in young children and the elderly, and the underlying cause is autoimmunity.

In the absence of other disorders, hemolytic anemia does not occur at all.

"Hmm."

After Lin Yi finished speaking, Director Xu nodded directly,

"It's true that the likelihood of having hemolytic anemia is very small."

"But there's a glimmer of possibility, and I'm listing it anyway."

"Of course, our focus is on lupus erythematosus and lymphoma."

"By the way, there's ......... His mother died of stomach cancer. ”

After Director Xu finished speaking, he suddenly remembered again and said to Lin Yi.

Lin Yi nodded slightly.

In that case, it's really possible that it's lymphoma.

Both diseases are possible!

Immediately afterwards, Xu Jie continued:

"Later, we examined the patient for these two items, and the results showed that the antinuclear antibodies of lupus erythematosus were negative, and no lymphoma was found."

"This ............"

Lin Yi couldn't help but be stunned, he didn't expect that they had already checked for these two diseases, and the result was that they were both negative!

"Brother Shen!"

"Hmm!"

Shen Changqing walked on the road, and when he met someone he knew well, he would say hello to each other or nod his head.

But it doesn't matter who it is.

There was no superfluous expression on everyone's face, as if they were very indifferent to everything.

on this.

Shen Changqing is used to it.

Because this is the Demon Suppression Division, it is an institution that maintains the stability of Great Qin, and its main responsibility is to kill demons and monsters, and of course there are some other side jobs.

Arguably.

In the Demon Suppression Division, everyone has a lot of blood on their hands.

When a person is accustomed to seeing life and death, then he will become indifferent to many things.

When he first came to this world, Shen Changqing was a little uncomfortable, but over time he got used to it.

The Demon Suppression Division is huge.

The people who can stay in the Demon Suppression Division are all powerful masters, or people who have the potential to become masters.

Shen Changqing belongs to the latter.

Among them, the Demon Suppression Division is divided into two professions, one is the town guard and the other is the demon exterminator.

Anyone who enters the Demon Suppression Division starts with the lowest level of demon slayer.

Then step by step, he is expected to become a town guard.

Shen Changqing's predecessor was a trainee demon slayer in the Demon Suppression Division, and he was also the lowest level of the demon slayer envoys.

Have memories of the predecessor.

He is also very familiar with the environment of the Demon Suppression Division.

It didn't take long for Shen Changqing to stop in front of an attic.

Unlike other places full of slaughter, the attic here seems to stand out from the crowd, and in the bloody Demon Suppression Division, it presents a different tranquility.

At this time, the attic door is open, and there are occasional people entering and exiting.

Shen Changqing only hesitated for a moment, and then stepped in.

Access to the attic.

The environment has changed in vain.

A burst of ink fragrance mixed with the faint smell of blood came to his face, making his brow furrow instinctively, but quickly stretched.

The smell of blood on everyone's body in the Demon Suppression Division is almost impossible to clean.